Patricia A Welborn, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01072 Issued in TX

Practice address

5701 W Kiest Blvd
Dallas, TX 75236-1047

Phone

(214) 775-2927

Fax

(214) 330-2002

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Patricia A Ewing Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1295857902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 W KIEST BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752361047",
            "telephone_number": "214-775-2927",
            "fax_number": "214-330-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 W KIEST BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752361047",
            "telephone_number": "214-775-2927",
            "fax_number": "214-330-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBORN",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "EWING",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosalinda Weisz, M.A., L.P.C.
• Paula Jo Weithman, LPC
• Lindsay Weitzel, MD
• Patrick M. Weix, M.D.
• Meena Welborn, PT, DPT
• Stuart Welborn, LAT
• Babu Guai Welch, MD
• Brennan James Welch, DDS
• Caitlin Celeste Welch, RBT
• Christian Mark Welch

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.